Individual provider · Type 1 NPI
Shawn Rae Disterhaupt
Clinical Social Worker · Brainerd, MN
Practice location
606 Front St
Brainerd, MN 56401-3602
Mailing address
203 H St NE
Brainerd, MN 56401-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 26111 (MN) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
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About NPI 1942996087
Shawn Rae Disterhaupt's National Provider Identifier is 1942996087, issued on Apr 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brainerd, MN. The record was last updated on Apr 12, 2023.